Michael Vlassakis

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02992200 Issued in NJ

Practice address

200 E Jimmie Leeds Rd
Galloway, NJ 08205-9567

Phone

(609) 652-0888

NPI assigned

Jun 2, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Professionals of Pennsylvania, P.C.

  • General Practice Dentistry
  • Yardley, PA
  • NPI 1760085583
  NPD
• Dhillon Dental Group, PA

  • Dentist
  • Galloway, NJ
  • NPI 1558936575
  NPD (past)
• Galloway Dental Group

  • General Practice Dentistry
  • Galloway, NJ
  • NPI 1700905155
  NPD (past)
• Arnold Rosenberg DMD and Associates

  • Dentist
  • Yardley, PA
  • NPI 1497183792
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1235878745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LOCUST CT",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542522",
            "telephone_number": "609-314-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E JIMMIE LEEDS RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059567",
            "telephone_number": "609-652-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLASSAKIS",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-02",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS043641",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02992200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vantage Eyecare, LLC
• Apollo Armando Villanoa Vergara, PHYSICAL THERAPIST
• Elaine R Vergara, PHYSICAL THERAPIST
• Village Super Market of NJ LP
• Visiting Therapist,LLC
• Voca Corporation of New Jersey
• Kristen Voss, PT, DPT
• Hung Quoc Vu, MD
• Osman Wain
• John Walch Jr., NP

• Dentist in Galloway, NJ
• Providers in Galloway, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.